Paediapaedia: Chest Clinical and Radiographic Presentations, DDX, Approach to Imaging
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
33% of all masses present in patients less than 15 years old
If small, usually asymptomatic and found incidentally (cautious work up)
If large, usually present with respiratory distress (frantic work up)
Anatomy of the Mediastinum
Anterior Mediastinal Masses: (4 T's) (30% of mediastinal masses)
Middle Mediastinal Masses (A + B) (30% of mediastinal masses)
Posterior Mediastinal Masses: (N) (40% of mediastinal masses)
Radiologist's job is to detect, characterize (benign vs. malignant), and follow the lesion
See References Chapter.
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